Relationship between muscular strength, gait and postural parameters in multiple sclerosis

Ann Phys Rehabil Med. 2011 May;54(3):144-55. doi: 10.1016/j.rehab.2011.02.004. Epub 2011 Mar 9.
[Article in English, French]

Abstract

Objective: To evaluate muscle strength, balance control and gait capacity in patients with multiple sclerosis (MS) and to study the correlations between these parameters.

Patients and methods: Twenty MS patients were evaluated in terms of knee muscle strength, gait and balance parameters. These evaluations were performed using an isokinetic dynamometer (the Cybex II(®)), a Bessou gait analyzer and a Satel(®) force platform, respectively. The patients' results were compared with those of a healthy control group.

Results: Hamstring and quadriceps peak torque values were lower in the MS group than in the control group. The sway area was greater in the MS group under eyes-open and eyes-closed conditions. The MS patients displayed lower gait speed, cadence and stride length. Hamstring and quadriceps strength values were significantly correlated with posture and gait parameters.

Conclusion: The present study revealed the value of an overall evaluation of knee muscle strength, gait and posture in MS patients.

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / physiopathology
  • Gait*
  • Humans
  • Knee / physiopathology
  • Male
  • Multiple Sclerosis / physiopathology*
  • Muscle Strength*
  • Muscle, Skeletal / physiopathology
  • Postural Balance*
  • Torque